Adult Health 1 Study Guide
Adult Health 1 Study Guide
Sensory Unit
Chapters 63 & 64
Remember that assigned textbook readings should be supplemental to reviewing & studying the PowerPoint presentations. Answers to these study guide questions can be obtained from the textbook chapters, PowerPoint presentations, as well as class lectures & in-class activities.
Chapter 63: Assessment & Management of Patients with Eye & Vision Disorders
Conditions to Know: Glaucoma, Cataracts, Retinal Detachment, Macular Degeneration, Conjunctivitis, Eye trauma
· Know the basic structures & functions of the eye – lens, pupil, iris, cornea, conjunctiva, retina, and sclera
· Questions to ask patients regarding issues with the eyes/vision – Chart 63-1
· Snellen Chart is used to assess visual acuity – 20/20 is considered perfect vision (patient can read line 20 of chart while standing 20 feet away) – this is tested in each eye
- What are some of the most common causes of blindness?
- What is responsible for the damage to the optic nerve in patients diagnosed with glaucoma?
- Glaucoma can lead to what primary complication if not treated properly?
- What are the differences between open-angle & closed-angle glaucoma?
- What are the primary signs & symptoms of glaucoma?
- What are the primary treatment goals for patients with glaucoma?
- What is the first-line treatment of glaucoma? What medication teaching points would you want to include in your patient education?
- What are some common risk factors for the development of cataracts? See Chart 63-7.
- What are the primary signs & symptoms of cataracts?
- The most common treatment for cataracts is outpatient surgery, in which the lens affected by the cataract is replaced with a man-made one. Explain the pre and post-operative nursing management & education that is needed for patients undergoing cataract surgery. See Chart 63-8.
- Retinal detachment is considered a medical emergency. What happens during retinal detachment?
- What are some symptoms of retinal detachment?
- Macular degeneration is the most common cause of vision loss in people > 60 years old. What is macular degeneration?
- What are some risk factors for dry macular degeneration?
- What are some signs and symptoms of macular degeneration?
- Nursing management for patients diagnosed with macular degeneration focus on safety & supportive measures. What are some accommodations we should make or educate patients on regarding how to help improve their vision & ADLs when they have this condition?
- Conjunctivitis is also called “pink eye.” What are the different types of conjunctivitis, and what are some symptoms of this condition? Are any of these types considered contagious?
- What are some teaching points to include when educating a patient diagnosed with viral conjunctivitis? See Chart 63-11.
- Explain the emergency nursing treatment needed when a patient presents with eye trauma.
Chapter 64: Assessment & Management of Patients with Hearing & Balance Disorders
Conditions to Know: Hearing loss, Otitis Media, Meniere Disease, Otic Medications
- What are some risk factors for hearing loss? See Chart 64-3.
- What are some early signs and symptoms of hearing loss?
- What are some guidelines to follow when caring for hearing-impaired patients? See Chart 64-5.
- What is acute otitis media?
- What are some of the clinical manifestations of acute otitis media?
- What are treatment options for acute otitis media?
- What is Meniere disease, & what are the common clinical manifestations of this condition?
- Describe the nursing & medical management needed in caring for a patient with Meniere disease. Include patient education needed for various medications. See Chart 64-8.
- What are some teaching points to include for patients experiencing vertigo?
- What are some examples of ototoxic medications that can cause tinnitus or hearing loss?
Adult Health 1 Study Guide
Sensory Unit
Chapters 63 & 64
Remember that assigned textbook readings should be supplemental to reviewing & studying the PowerPoint presentations. Answers to these study guide questions can be obtained from the textbook chapters, PowerPoint presentations, as well as class lectures & in-class activities.
(Adult Health 1 Study Guide)
Chapter 63: Assessment & Management of Patients with Eye & Vision Disorders
Conditions to Know: Glaucoma, Cataracts, Retinal Detachment, Macular Degeneration, Conjunctivitis, Eye trauma
· Know the basic structures & functions of the eye – lens, pupil, iris, cornea, conjunctiva, retina, and sclera
· Questions to ask patients regarding issues with the eyes/vision – Chart 63-1
· Snellen Chart is used to assess visual acuity – 20/20 is considered perfect vision (patient can read line 20 of chart while standing 20 feet away) – this is tested in each eye
- What are some of the most common causes of blindness?
- What is responsible for the damage to the optic nerve in patients diagnosed with glaucoma?
- Glaucoma can lead to what primary complication if not treated properly?
- What are the differences between open-angle & closed-angle glaucoma?
- What are the primary signs & symptoms of glaucoma?
- What are the primary treatment goals for patients with glaucoma?
- What is the first-line treatment of glaucoma? What medication teaching points would you want to include in your patient education?
- What are some common risk factors for the development of cataracts? See Chart 63-7.
- What are the primary signs & symptoms of cataracts?
- The most common treatment for cataracts is outpatient surgery, in which the lens affected by the cataract is replaced with a man-made one. Explain the pre and post-operative nursing management & education that is needed for patients undergoing cataract surgery. See Chart 63-8.
- Retinal detachment is considered a medical emergency. What happens during retinal detachment?
- What are some symptoms of retinal detachment?
- Macular degeneration is the most common cause of vision loss in people > 60 years old. What is macular degeneration?
- What are some risk factors for dry macular degeneration?
- What are some signs and symptoms of macular degeneration?
- Nursing management for patients diagnosed with macular degeneration focus on safety & supportive measures. What are some accommodations we should make or educate patients on regarding how to help improve their vision & ADLs when they have this condition?
- Conjunctivitis is also called “pink eye.” What are the different types of conjunctivitis, and what are some symptoms of this condition? Are any of these types considered contagious?
- What are some teaching points to include when educating a patient diagnosed with viral conjunctivitis? See Chart 63-11.
- Explain the emergency nursing treatment needed when a patient presents with eye trauma.
Chapter 64: Assessment & Management of Patients with Hearing & Balance Disorders
Conditions to Know: Hearing loss, Otitis Media, Meniere Disease, Otic Medications
- What are some risk factors for hearing loss? See Chart 64-3.
- What are some early signs and symptoms of hearing loss?
- What are some guidelines to follow when caring for hearing-impaired patients? See Chart 64-5.
- What is acute otitis media?
- What are some of the clinical manifestations of acute otitis media?
- What are treatment options for acute otitis media?
- What is Meniere disease, & what are the common clinical manifestations of this condition?
- Describe the nursing & medical management needed in caring for a patient with Meniere disease. Include patient education needed for various medications. See Chart 64-8.
- What are some teaching points to include for patients experiencing vertigo?
- What are some examples of ototoxic medications that can cause tinnitus or hearing loss?
References
Smeltzer, S. C., Bare, B. G., Hinkle, J. L., & Cheever, K. H. (2010). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (12th ed.).
Philadelphia: Lippincott Williams & Wilkins. https://www.lww.com/brunner-suddarth-textbook-of-medical-surgical-nursing-9781975136411
American Academy of Ophthalmology (AAO). (2023). Eye Health & Vision Health Resources. https://www.aao.org/eye-health
Glaucoma Research Foundation. (2023). Glaucoma Facts and Stats. https://www.glaucoma.org/glaucoma/glaucoma-facts-and-stats.php
National Eye Institute (NEI). (2023). Age-Related Macular Degeneration (AMD). https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/age-related-macular-degeneration
Centers for Disease Control and Prevention (CDC). (2023). Conjunctivitis (Pink Eye). https://www.cdc.gov/conjunctivitis/index.html
American Academy of Audiology. (2023). Hearing Loss Information and Resources. https://www.audiology.org/publications-resources/hearing-education-resources/hearing-loss
Mayo Clinic. (2023). Meniere’s Disease: Symptoms and Causes. https://www.mayoclinic.org/diseases-conditions/menieres-disease/symptoms-causes/syc-20374910
World Health Organization (WHO). (2021). World Report on Hearing. https://www.who.int/publications/i/item/world-report-on-hearing
